Dr. Lox Andutan - Urology

25/02/2026

Salute to Doc Drew Valdez - Urology! Residency training is not just about learning how to operate, eventually nadadala din ang ugali kung paano ka mag alaga ng pasyente. Going beyond what is expected, yan ang tunay na malasakit. 🫡

Just like residency, sumasama pa rin sa CT scan in select cases para makita agad agad agad images. We da east

25/02/2026

When ESWL fails… we look inside the ureter.

Patient previously underwent shockwave pero hindi pa rin nailabas ang bato.

During ureteroscopy, nakita namin na impacted ang bato sa distal ureter. Using holmium laser, the stone was safely dusted and cleared.

Small scope, no incisions and finally stone free. 🎯

23/02/2026

Reunion ng mga trentahin: sa operating room, as usual malapitin si batchmate sa mga difficult cases. 😬 Happy to assist in your reconstructive/MIS cases. Good to see you Magallanes-Mascariñas Urology & UroOncology 😁

20/02/2026

No clinic tomorrow Feb 21 and Feb 23, 2026.
Will resume on February 24(Tuesday). Thank you!

05/02/2026

Always keep it open! Thank you to all my mentors and silent mentors. I’m very grateful for all the insights. Special mention to Dr. Toto Abalajon, Dr. Agatep, Dr. Karl Marvin Tan 🫡🫡

*CTTO

05/02/2026

Be informed. 👇🏼

WEATHER UPDATE: Cagayan de Oro was placed under Tropical Cyclone Wind Signal No. 2 as of this morning February 5, 2026.

📷 windy.com

05/02/2026

Para kanino ka ba bumabangon? Sana hindi lang sa pag-iihi. Malapit na Valentine’s Day… Sana bumalik ang kilig mo, kahit sa pag-ihi man lang! 😉💘

04/02/2026

May mga pasyente nag papanic kase malaki ang prostate size, cancer na ba agad ito?

Recent studies show:

👉 Smaller prostate = higher cancer detection risk, especially if mataas ang PSA.
👉 Larger prostate (BPH) often has lower cancer detection, but PSA can be elevated dahil sa enlargement.

📌 PSA Density (PSA ÷ Prostate Volume) is more reliable than PSA alone.
Kapag mataas ang PSAd sa maliit na gland → mas concerning for clinically significant cancer.

Maraming studies ang nagpapakita ng inverse relationship between prostate size at risk of prostate cancer. Pero ngayon, mas nakafocus ang newer research sa MRI-targeted biopsy at paano ito naaapektuhan ng gland size, dahil sa mas malalaking prostate, posible na hindi tamaan ng biopsy needle ang cancer foci, kaya maaaring bumaba ang detection rate.

🔎 Bottomline:
Hindi size lang ang basehan. Dapat tinitingnan kasama ang PSA, PSA density, at MRI findings.

03/02/2026

It's best to stay prepared. Stay safe everyone!

02/02/2026

Endoscopic view of the verumontanum (seminal colliculus) sa prostatic urethra. Ito ang bahagi kung saan dumadaan ang semilya papunta sa ihianan (urethra) kapag nag-e-ejaculate ang lalaki. Maliit lang ito, pero mahalagang parte ng normal na male reproductive function.

Ano ang possibleng symptomas kapag may problema dito?
✔ Hirap o mahina ang ihi
✔ Hapdi o sakit sa pag-ihi
✔ Pananakit o discomfort tuwing ej*******on
✔ Dugo sa semilya (hematospermia)
✔ Pakiramdam na may bara

01/02/2026

Prostate cancer screening starts at 45. Early PSA testing matters. I’m seeing too many advanced cases lately.